LDL is one of the blood lipids, is the main risk factor for atherosclerosis, in addition to medication, some of our daily ingredients also have a certain lipid-lowering effect. Such as vegetables, fruits, grains, beans, nuts, mushrooms, seaweeds, melons, tomatoes, konjac, fungus, kelp and other foods that help reduce blood lipids. Among those that can lower density lipoprotein are the following ingredients:

1. Beans and soy products: it contains plant sterols, can prevent intestinal absorption of cholesterol; also contains lecithin, so that cholesterol is not deposited in the walls of blood vessels, not the formation of atherosclerotic plaque; and it contains soy protein can significantly reduce serum cholesterol, low-density lipoprotein and triglyceride levels. Eating beans and their products is beneficial to lower density lipoprotein.

2. Fish: Fish is rich in eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), which can lower cholesterol and triglycerides, raise high-density lipoprotein (HDL), lower density lipoprotein (LDL), and inhibit platelet aggregation to prevent atherosclerosis. Among them, deep-sea fish is better.

3. Garlic: Garlic oil, allicin and garlic ethanol extract have lipid-lowering effects. It can also reduce density lipoprotein and very low-density lipoprotein and total blood cholesterol content, it can also elevate high-density lipoprotein, inhibit the formation of fatty liver. Garlic also has anti-platelet aggregation, promote fibrinolysis and lower blood pressure, to prevent atherosclerosis and the formation of atherosclerotic plaque regression.

4. Apple: its fiber can reduce the content of density lipoprotein, for coronary heart disease, hypertension and atherosclerosis has a better prevention and treatment effect. Hawthorn, kiwi, bananas, citrus, grapes and other fruits are also lipid-lowering foods.

Pay attention to the cooking method should be steamed, stir-fried, raw food, daily diet should be light, less salt, less fried, barbecued, greasy food. Three meals should be reasonably distributed and not excessive. You should also take lipid-lowering drugs as prescribed by your doctor.

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References:

[1] Hu Lan. Zhang ZF. Dietary treatment of hyperlipidemia. Oriental Food Therapy and Health Care 2008.1 .17

By Cui Xifeng Feng Fengtai Hospital Beijing 2018.10.15

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Stop ignoring the majority of readers who value their health and life! It has never been possible to prove which foods to eat can lower LDL cholesterol LDL, only try to eat less cholesterol-rich egg yolks, meat filth, pig brains, but not more animal meat, etc., because LDL cholesterol accounted for 60% of the total cholesterol, and only when the total cholesterol is low it will be lowered. Moreover, food intake of cholesterol only accounts for about 30% of the daily synthesis of cholesterol through the liver, small intestine and other parts of the cholesterol, so endogenous cholesterol metabolism dysfunction is the main reason for the total cholesterol and LDL cholesterol rise. Therefore, do not be gullible to eat what nuts, garlic, deep-sea fish oil, corn oil and so on rich in phytosterols and long-chain unsaturated fatty acids in the statin drugs have not yet been found outdated theory, do not believe that you try to see how much LDL cholesterol can be down to eat those? Can you reach the standard? Don't be enthusiastic and miss the treatment!

So are there foods and drugs that boost HDL, the high-density lipoprotein cholesterol, that also bring down the LDL cholesterol in total cholesterol? There are not! Because HDL cholesterol is inversely related to triglycerides, only a low drop in triglycerides will raise HDL cholesterol, and there may be a small drop in LDL cholesterol. Deep sea fish oil is not rich in HDL cholesterol and long chain unsaturated fatty acids? Unfortunately, it is useless to eat less, dare to eat more? Then triglycerides will rise more than it is worth. It's the age of over-nutrition and no one will take 10ml of cod liver oil a day anymore.

Food culture is one of the most important traditions that Chinese people have emphasized for thousands of years. In the era of lack of medicine, people wanted to eat certain foods to enhance their health and prevent diseases. With the development of the times, the progress of medical science people on the pathogenesis of certain diseases (by no means all diseases) gradually have a knowledge of LDL cholesterol is an important cause of the formation of arterial plaques and plaque core lipids are the main components of the LDL cholesterol is too high easy to form unstable soft plaques and too much atherosclerotic plaques caused by arterial stenosis and even occlusion. Can responsibly say that the development of modern medicine today (tomorrow who knows) only a standard dose of different statins can make LDL cholesterol down 33%-39%, ezetimibe 10mg can make LDL down 17%-20%, the two together can make LDL down 50%-59%, I do not advocate the use of high-dose statin to lower LDL, one is the dose increases I do not advocate using high dose statins to lower LDL, for one thing, doubling the dose will only increase the LDL drop by 6%, and for another, the payoff is positively correlated with the dose.

Emphasize that not all people with high LDL or plaques should take statins, only those who have had cardiovascular and cerebrovascular events (except for caval infarction) or implantation of stents, or found that arterial stenosis is greater than 30%-50% and have definite ischemic symptoms, and found that unstable soft plaques may rupture at any time after examination and accompanied by one or two or more of the three high schools must take statins according to the number of risk factors to reduce LDL to the standard requirements. The number of risk factors, respectively, to reduce LDL to meet the requirements of the standard can be, but never the lower the LDL the better, after taking must be followed up to observe the efficacy of the treatment to adjust the dosage and pay attention to any liver damage, muscle damage to pay, although the incidence of very low.

2018.12.30

LDL is a topic related to blood lipids. Lipids (a general term for triglycerides, cholesterol, phospholipids, etc. in the blood) are insoluble in water and can be dissolved and transported in the blood for metabolism only when they combine with apolipoproteins to form tiny "goblets". These spheres in the blood are called "lipoproteins". In other wordsIt is in the form of lipoproteins (goblets) that lipids are present in the blood.

Lipoproteins can be divided into several categories depending on their density, with "low-density lipoproteins" (LDL) being the lipoproteins with the highest cholesterol content in the blood. The level of LDL-C can be measured clinically by analyzing the level of LDL cholesterol. That is to say, we often refer to the "bad cholesterol"------ "LDL cholesterol" and "LDL" are the same thing.

LDL is a major risk factor for atherosclerosis and is closely related to cardiovascular health, so its indicator must not be exceeded. However, if this indicator is elevated, in addition to drug intervention, diet also has a good auxiliary regulatory role.

Let's start with those foods that are good for lowering LDL.

① Foods rich in dietary fiber.

Including Vegetables, fruits, coarse grains and beans. Especially preferred oats, mixed beans, citrus, apples, bananas, mushrooms, seaweed, melons, tomatoes, konjac and its products and other foods rich in soluble dietary fiber.

② Foods rich in phytosterols.

Includes soybeans, various nuts (peanuts, melon seeds, walnuts, pistachios, almonds, etc.), and small varieties of unrefined oils (sesame oil, pumpkin seed oil, walnut oil, flaxseed oil, etc.).

③Increase the proportion of vegetable oils rich in "oleic acid" while ensuring the diversity of vegetable oils.such as olive oil, oil tea

Seed oil, high oleic canola oil, etc.

④Eat plenty of deep-sea fish rich in the unsaturated fatty acids DHA+EPA, no less than three times a week.

Next, try to avoid foods that are not good for lowering LDL.

a. Eat fewer foods rich in "saturated fats".

Including not only lard, cream, butter and fatty meat of livestock and poultry; but also some processed foods containing coconut oil and palm oil, such as fried foods, puffed foods and some cookies and snacks out there (you can refer to the food ingredient list for details).

b. Eat fewer foods containing trans fats.

It mainly refers to some shortening breads, pastries and cakes that use hydrogenated oil, shortening and margarine.

Author：Li Huiyi National Public Nutritionist Grade II Lecturer at Hengdian College

Low-density lipoprotein, known as low-density lipoprotein cholesterol, abbreviated as LDL-C, is an important indicator of blood lipids, and its concentration can reflect the total amount of LDL in the blood. Elevated LDL is an important risk factor for the development of atherosclerosis. In general, when LDL is high, total cholesterol will also be high, but the amount of total cholesterol will also be affected by HDL, so the value of LDL is generally used to assess the indicators of atherosclerotic cardiovascular disease. How can high LDL be regulated by diet and lifestyle habits?

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How can I regulate my diet if my LDL is high?

In the case of dyslipidemia, especially high LDL, the main thing to keep in mind when it comes to diet is to make adjustments in these two areas:

1. Reduce the intake of lipids, especially saturated fatty acids and trans fatty acids: In daily life, patients with hyperlipidemia should pay special attention to reduce the intake of lipids, and it is recommended that the amount of cholesterol intake should not be more than 300mg per day, and the oil used for daily frying should not be more than 30g/day. Saturated fatty acids are mainly found in animal fats, such as mutton oil, butter, butter, lard, etc., all of which should be reduced intake, while trans fatty acids are generally found in baked goods, fried foods, and should be eaten as little as possible. Can be appropriate to increase more unsaturated fatty acids, especially omega-3 unsaturated fatty acid intake, it is recommended to eat deep-sea fish twice a week, can effectively replenish the body's health of unsaturated fatty acids, life with oil can be used vegetable oil instead of animal oil, in order to reduce the saturated fatty acid intake.

2. Pay attention to the intake of carbohydrates and dietary fiber: for patients with high LDL hyperlipidemia, the recommended daily intake of carbohydrates accounted for 50~60% of the total energy intake. Carbohydrate intake is not recommended refined rice and white flour type of staple food, recommended whole grain foods, coarse grains foods, potatoes, etc., fruits and vegetables should also eat more, pay attention to low salt and low sugar diet, can also be very good protection of the cardiovascular system. Roughage foods and fruits and vegetables rich in water-soluble dietary fiber, can effectively increase the discharge of lipids, to reduce blood lipids have a very good effect.

What are the do's and don'ts besides diet?

1. Weight control: obesity is a high risk factor for hyperlipidemia, especially centripetal obesity, therefore, if patients with hyperlipidemia have the problem of obesity, must pay more attention to reduce the amount of food, moderate exercise, eat less and exercise more, to reduce weight, reduce the stomach, lose weight, at the same time, the blood lipids will be effectively reduced down. bmi control between the best between 21~24.

2. Moderate exercise: It is generally recommended that only 30min of moderate-intensity exercise per day, at least five days per week, is required. This amount of exercise, which is aerobic, can lower blood lipids, improve hypertension and reduce the risk of cardiovascular disease.

3. Quit smoking and limit alcohol: not smoking and avoiding second-hand smoke are good habits to protect the cardiovascular system. Harmful substances in cigarettes are undoubtedly harmful to the cardiovascular system, therefore, cardiovascular risk friends, quit smoking is all good. Long-term heavy drinking is also very damaging to the cardiovascular system, so I hope you can control your drinking and drink as little as possible.

Hello, everyone! I'm Blessed Dad, a practicing physician. I hope my answer is useful to you.

To say exactly what foods to eat to lower LDL, that's really not true! Let me say why.

LDL is known as bad cholesterol, but don't think that LDL is inherently bad, it is only bad when it is abnormally elevated. The exact mechanism is complex and can be understood as LDL transports cholesterol to the lining of the blood vessels while HDL transports cholesterol to the outside of the blood vessels, as in the picture below.

LDL is not ingested from food, but is synthesized by the liver. How much LDL is synthesized by the liver depends on a number of factors, of which energy metabolism is a major influence. When metabolism is disturbed (medically known as metabolic syndrome), the liver synthesizes more LDL. So the factors that cause metabolic syndrome are the same factors that cause elevated LDL, including genetics, gender, age, unhealthy dietary patterns, unhealthy lifestyles, smoking and alcohol abuse. There are so many factors that influence this, and diet is just one of them.

Since the causes of elevated LDL are so complex, how is it possible to lower it just by eating a few foods? To lower LDL, you must rely on a long-term healthy lifestyle and balanced nutrition. That's all it takes, and the effects are slow and limited in magnitude. If the magnitude of LDL elevation is large, or even combined with multiple risk factors, such as high blood pressure diabetes, statin therapy is a must to drastically reduce the incidence of cardiovascular and cerebrovascular disease.

Finally, we still talk about healthy eating patterns, remember a few principles: avoid high-fat, high-sugar and high-salt diet, eat more fresh vegetables and fruits, replace some of the fine staple foods with coarse grains and miscellaneous grains, and use dairy products, soy products, eggs, fish and shrimp as the main source of protein.

I'm FooDaddy, a licensed physician, and if you think I'm making sense, just give me a like 😜 Follow my headline for more nutritional health information.

With the deepening of China's reform and economic development, people's living standards are getting higher and higher, and their lifestyles have changed dramatically. People enjoy more and more opportunities to enjoy food, exercise time and opportunity is less and less, can be said to go out in the car, into the door lying down to play with the phone. Along with this, the physical examination found a large number of people with elevated blood lipids. Some of them have elevated triglycerides, some have elevated LDL, and some have both.

Truth be told, for certain patients with mildly elevated triglycerides, it is possible to achieve control of their levels by standardizing their diet. However, for patients with elevated LDL, it's not really easy to just control their levels through diet. Especially for many people who are at high risk of cardiovascular disease, improving diet is only a small step in controlling LDL, and the most crucial step is to take oral statin and other drugs that can effectively reduce LDL levels, which is the key to solving the problem.

All of this today is just to say to many patients with elevated LDL that the solution to elevated LDL can't be found in improving diet alone, or eating more of certain things, but in standardizing treatment, taking a statin when you should, and exercising more when you should. In short, LDL improvement is a combination of multiple efforts, don't just rely on food.

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When we hear about cholesterol, we all turn pale, thinking that the lower the cholesterol, the better, and that it is a harmful substance to the human body. But actually cholesterol has two sides, it is an indispensable and important component of the human body, but if the total amount is too high and easy to cause chronic diseases. Cholesterol is an important element in the structure of all membranes in the body, without which we simply cannot exist. There are good cholesterol and bad cholesterol, the good cholesterol is the "HDL" and the bad cholesterol is the "LDL" mentioned in our title.

Cholesterol in human blood can not act alone, there must be a means of transportation, this tool is lipoprotein. Low-density lipoprotein is a lazy man, not only the transport efficiency is low, but also like to lean against the blood vessels began to be lazy, once the inner wall of the blood vessels have what rupture openings, they are easy to be deposited there, a large number of tissues formed, and then call for some impurities, together to form atherosclerosis.They are an important cause of atherosclerosis. But HDLs are the hardworking little brothers who work hard at transportation and are never lazy, so thatWithin a certain range, the higher the HDL, the better, while the lower the LDL, the better.

Several factors may exacerbate LDL levels: smoking, obesity/severe overweight, low HDL, aging, premature ischemic cardiovascular disease(There are genetic factors). So, weThe first thing to do is to quit.Cigarettes, smoking and many other harmful factors, combined, increase the incidence of cardiovascular disease. In addition, we shouldEat a light diet, control calories, and make sure your weight fluctuates in a normal rangeObesity is not only an important factor in the development of three highs (including high uric acid), but also increases the incidence of cardiovascular disease. Obesity is not only three high (also includes high uric acid) induced important factors, but also increase the incidence of cardiovascular and cerebrovascular diseases. Should also consciously improve HDL content, hardworking little brother more, there is no room for lazy little brother.

Exercise is a favorable factor to increase HDL, a moderate amount of exercise every day can increase the level of HDL, in addition, you should also ensure that you are in a stable or happy mood, too much stress may cause a rise in LDL. You can increase your intake of foods that improve atherosclerosis, such as asparagus and agaricus mushrooms, and increase the number ofIntake of Selenium, Chromium and Manganese Rich Foods, they facilitate the regulation of metabolism, lower blood pressure and dilate blood vessels.Phytosterols are a good LDL-lowering substance, and are rich in soybeans and nuts, plus corn oil is particularly rich in phytosterols, which can be chosen for daily cooking, in addition to blending some vegetable fats rich in polyunsaturated fatty acids, such as flaxseed oil, canola oil, olive oil and so on.Eat more deep-sea fish, which are rich in polyunsaturated fatty acids and can increase HDL levels, which is also beneficial in lowering LDL.Try to eat a light daily diet and reduce the intake of fried, barbecued and processed foods.Helps protect HDL levels from being affected.

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Although some foods contain ingredients that are effective in lowering LDL cholesterol, in fact, the amount of common foods eaten, which contain not enough active ingredients to achieve the amount of LDL cholesterol lowering, is usually purified to lower LDL cholesterol.

Such food has:

1. Deep-sea fish oil, we all know that deep-sea fish oil contains unsaturated fatty acids DHA and EPA, of which, high purity are EPA has been shown to reduce LDL cholesterol, however, this can only mean that the appropriate amount of deep-sea fish have the benefit of eating more fish, but can not rely on the eating fish can reduce cholesterol.

2. Red currant rice, with indica rice, round-grained rice, glutinous rice and other rice as raw materials, fermented with red currant fungi, brownish-red or purplish-red rice grains. Our domestic lipid-lowering drugs lipids, lipitor, its main lipid-lowering components are obtained from red yeast rice, so eating red yeast rice will also help to reduce LDL cholesterol, but also can not rely on it to treat high blood cholesterol.

3. Some other foods that are good for controlling blood lipids include: foods rich in dietary fiber, such as all kinds of green vegetables; foods rich in phytosterols, such as Brussels sprouts, almonds, olive oil and so on. These foods are good for blood lipids and can help control blood lipids without raising them or even help control them. However, if LDL is already higher than normal, it is unrealistic to rely on food to lower blood lipids.

Although food is not directly used to lower blood lipids, eating healthy does help control them.When blood lipids are high, controlling them, a healthy diet and good habits are the foundation.

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No food will lower it without medication.

Mainly through dietary regulation exercise therapy, drug adjustment, daily life in the diet should pay special attention to walnuts can improve the ratio of high-density lipoprotein, garlic, there is to improve the blood concentration of high-density lipoprotein, fish fat contains special unsaturated fatty acids, can elevate the high-density lipoprotein, anti-atherosclerosis, it is recommended that usually pay attention to eat more eggs, more food containing linoleic acid linolenic acid.

If you often have dizziness and panic attacks, which are more obvious when you get up in the morning, and sometimes the tips of your fingers are a bit numb, and you have a low HDL, it is best to check the electrocardiogram as well as the head ct to see. HDL is low, this situation in general, do not need special treatment, it is recommended to take a balanced diet low-fat diet, while taking more vegetables and fruits as well.